Twenty years ago I attended a party at which a numerolo­gist offered to analyze my name. After performing what appeared to be complicated mathematical computations she told me my number was eleven—a “power number”—then looked at me quizzically.

“How strange,” she said. “This is the first time I have ever seen this.”

“What is it?” I asked, genuinely concerned.

“Your numbers tell me that you make money from war.”

I met her gaze steadily as I replied, “I do.”

As an only child growing up in 1950s Philadelphia, I occu­pied myself with warrior fantasies. My imagination soared with visions of knights, kings, and queens who populated the English history books I would get from the library. The dra­matic tales of battles driven by focused energy and height­ened danger excited me. It wasn’t conquest I was after; it was the warriors’ extraordinary sense of mission. I was moved by an empathic connection with the vulnerable and oppressed. I wanted to challenge a great evil power, to lead troops into battle for the most noble of causes.

Unfortunately, the world in which I was living allowed for few grand heroics. Rather than a battleground, it was a special kind of wasteland. I grew up at a time when one’s worth and acceptance as a female were measured by the width of a crin­oline skirt, when French kissing branded you a sexual outlaw, and when little girls’ dreams revolved around their weddings and lessons learned from watching Queen for a Day’s ritual of “improving” one’s life with domestic conveniences. It was a vast wilderness of mothers, teachers, and friends encircling me in traditional femininity, creating a suffocating loneliness that I could not name or understand.

I felt powerless to change my fate until Queen Elizabeth I, whose story I discovered at age ten, finally broke that silence. Her survival skills were legendary: her mother was beheaded when she was three and her stepmother executed when she was nine; she was sexually molested at fifteen; and she spent two months imprisoned in the tower, a hair’s breadth away from execution herself. She learned to carefully scan the political and emotional landscape for signs of potential danger.

She ruled sixteenth-century England by herself, refusing to marry or to bear children. The androgynous strategies of this woman who wanted to be “both king and queen of Eng­land” were unheard of for a female monarch of her time.

I kept the lessons I learned from Elizabeth close to my heart and my head when I broke free from Philadelphia and came of age in New York City in the 1960s. The time was ripe to pick up her gauntlet and challenge women’s tra­ditional roles. I became a child of one of the greatest social revolutions in history, at a time when it became politically possible for women to legally gain and exercise reproductive choice—the power of life and death. A time when the right to choose became the fundamental premise of the movement for women’s liberation, and when the expression of that truth was every woman’s entitlement. After years spent feeling I should have been born in some earlier, more romantic age, I have come to realize that my life’s work would not have been possible in any other era but this one.

In 1971, two years before Roe v. Wade, I opened one of the first legal abortion clinics in the country and thrust myself into a world that came with battles to fight (replete with inva­sions, death threats, and killings), opportunities for courage and heroism, and the necessity for bold leadership, strategic thinking, philosophical debate, and entrepreneurial skill. There were barbarians at the gate, self-identified as Right to Lifers (anti-choicers, or “antis,” as I call them throughout this book), waving pictures of bloody fetuses and sometimes hid­ing bombs or guns under their coats. My sword was a six-foot coat hanger held high over my head as I declared my sisters would never return to back-alley butchery. I raised a bullhorn to rally fellow soldiers, decrying the clinic violence that swept the nation. This was my historic stage. It was a war, and I finally felt I was living my destiny.

I helped midwife an era in which women came closer to sexual autonomy and freedom than ever before in history. The very idea that women could rise up and act in their own best interest electrified men and women alike during those years, and the foundational works of second-wave feminists inspired millions of my peers. But my feminism didn’t come from books or theoretical discussions. It came in the shape of individual women presenting themselves for services each day. I began to understand the core principle of feminism as I held the hands of thousands of women during their most powerful and vulnerable moment: their abortions.

I wasn’t immune to the physicality of abortion, the blood, tissue, and observable body parts. My political and moral judgments on the nature of abortion evolved throughout the years, but I quickly came to realize that those who deliver abortion services have not only the power to give women control over their bodies and lives, but also the power—and the responsibility—of taking life in order to do that. Indeed, acknowledgment of that truth is the foundation for all the political and personal work necessary to maintain women’s reproductive freedom.

My story is the story of women’s struggle for freedom and equality in the twentieth century, but it is also a personal story of obstacles, survival, and triumphs. Like Elizabeth, I did not want to give birth to my successor. I never dreamed of being a mother, nursing a child, shaping a young life. I wanted—needed—to give birth to myself. And, in the arms of the women’s movement, my delivery was aggressive, even violent, with pressures pushing down on me from every direction at times, crushing and battering me as I reached for the freedom to become. Most painful of all were my terrify­ing glimpses of the all-encompassing sense of being alone. Whatever one can say glowingly about the women’s liberation movement and our “collective problems requiring collective solutions,” this fact cannot be denied: becoming is nothing if not a solo journey. Yet my singular voyage has been enriched with allies, friends, lovers, and family, unexpected intimacies that bear meaning, depth, purpose, and joy.

Thomas Merton taught that there were three vocations: one to the active life, one to the contemplative, and a third to the mixture of both. This book is the story of my mixed life. I am an activist, a philosopher, a transgressor of boundaries. I strive to live in truth—or, perhaps, truths. I have not escaped this war unscathed; like all women who have gone into battle, I am scarred. But perhaps that is the definition of wisdom. Perhaps our wounds, the crevasses and cracks in our inno­cence of perception that come as the price of experience, are our marks of understanding.

MERLE HOFFMAN is one of the most important advocates for the women’s rights of our time. In 1971 (two years before the Roe v. Wade Supreme Court decision to legalize abortion nationally), she opened Choices Medical Center, one of the first legal abortion clinics in New York State. Under Hoffman's direction as CEO and president, Choices has expanded into a multifaceted women's medical center, offering full reproductive and primary health care. Choices currently serves more than 50,000 patients a year. It has also become a multimillion-dollar business.

Hoffman was a co-founder of the National Abortion Federation and founder of the New York Pro-Choice Coalition, the first umbrella organization of pro-choice individuals and organizations committed to ensuring legal, safe abortions in New York. In April 1989, Hoffman and the coalition led the first pro-choice civil disobedience action at St. Patrick’s Cathedral in New York City, protesting Cardinal John J. O'Connor's support of Operation Rescue.

In 1975, Hoffman founded STOP (the Second Treatment Option Program), the first ambulatory breast cancer program specializing in an interdisciplinary model of patient care. She recently broadened the services of the medical center by creating CHOICES Mental Health Center, which addresses a full range of psychological issues including rape, incest, and domestic violence as well as general psychiatric and psychological services. In the wake of the 9/11 tragedy, CHOICES Mental Health Center became a Project Liberty provider of mental health services to those affected by the attacks, offering free counseling at satellite centers in neighborhoods throughout New York.
In 1982, Hoffman began On the Issues, a magazine of CHOICES, created to share informaton with other health care providers and pro-choice activists. In 2008, On the Issues was revamped and introduced as a free online publication. It has approximately 20,000 readers every issue.

Hoffman has received numerous awards throughout her career, including several for lifetime service to the movement from the Veteran Feminists of America, and the Front Page Award from the Newswomen's Club of New York in the political commentary category for her article "Selecting the Same Sex." Recently she was profiled in Forbes.com.